Gerald Ball Broussard (NPI# 1104117688, PAC ID# 1850604802) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1104117688 |
| PAC ID by PECOS | 1850604802 |
| Professional Enrollment ID | I20170524002825 |
| Full Name | Gerald Ball Broussard |
| Organization Legal Name | COMPREHENSIVE RADIOLOGY SERVICES, PLLC |
| Address |
6051 U S Hwy 49 Hattiesburg MS 39401-7200 |
| Phone Number | 6012887000 |
| Gender | M |
| Medical School | TULANE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1759364946 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250078 | FORREST GENERAL HOSPITAL |
| 250094 | MERIT HEALTH WESLEY |
| 250077 | WAYNE GENERAL HOSPITAL |
| 250085 | MARION GENERAL HOSPITAL |
| 250124 | MAGEE GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 6012646000 | HATTIESBURG CLINIC PA |
| 6051 U S Hwy 49, Hattiesburg, MS 39401-7200 | 6012887000 | COMPREHENSIVE RADIOLOGY SERVICES, PLLC |
| Organization Legal Name | COMPREHENSIVE RADIOLOGY SERVICES, PLLC |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul M Rocconi | Diagnostic Radiology | Comprehensive Radiology Services, Pllc | 5000 W 4th St, Hattiesburg, MS 39402-1000 |
| Craig S Howard | Diagnostic Radiology | Comprehensive Radiology Services, Pllc | 332 Hwy 12 W, Kosciusko, MS 39090-3209 |
| Lauren Marie Worley | Physician Assistant | Comprehensive Radiology Services, Pllc | 6051 U S Hwy 49, Hattiesburg, MS 39401-7200 |
| Cleveland A. Hudson | Diagnostic Radiology | Comprehensive Radiology Services, Pllc | 332 Hwy 12 W, Kosciusko, MS 39090-3209 |
| Neil A Solomon | Diagnostic Radiology | Comprehensive Radiology Services, Pllc | 332 Hwy 12 W, Kosciusko, MS 39090-3209 |
| Richard F Mccarthy | Diagnostic Radiology | Comprehensive Radiology Services, Pllc | 332 Hwy 12 W, Kosciusko, MS 39090-3209 |
| Steven G Cunningham | Diagnostic Radiology | Comprehensive Radiology Services, Pllc | 332 Hwy 12 W, Kosciusko, MS 39090-3209 |
| Scott T Boyette | Diagnostic Radiology | Comprehensive Radiology Services, Pllc | 332 Hwy 12 W, Kosciusko, MS 39090-3209 |
| William M Molpus | Diagnostic Radiology | Comprehensive Radiology Services, Pllc | 332 Hwy 12 W, Kosciusko, MS 39090-3209 |
| James A York | Diagnostic Radiology | Comprehensive Radiology Services, Pllc | 6051 U S Hwy 49, Hattiesburg, MS 39401-7200 |
| Street Address |
6051 U S HWY 49 |
| City | HATTIESBURG |
| State | MS |
| Zip | 39401-7200 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darvin L Sibley | Certified Registered Nurse Anesthetist (crna) | Hattiesburg Clinic Pa | 6051 U S Hwy 49, Forrest General Hospital, Hattiesburg, MS 39401-7200 |
| William Duncan Donald Iii | General Surgery | Fgh Trauma Surgery Clinic | 6051 U S Hwy 49, Hattiesburg, MS 39401-7200 |
| Victor Polito | Certified Registered Nurse Anesthetist (crna) | Hattiesburg Clinic Pa | 6051 U S Hwy 49, Forrest General Hospital, Hattiesburg, MS 39401-7200 |
| Lauren Marie Worley | Physician Assistant | Comprehensive Radiology Services, Pllc | 6051 U S Hwy 49, Hattiesburg, MS 39401-7200 |
| Jeffrey Hudson | Obstetrics/gynecology | Hattiesburg Clinic Pa | 6051 U S Hwy 49, Forrest General Hospital, Hattiesburg, MS 39401-7200 |
| Joshua A Maksi | Neurology | Hattiesburg Clinic Pa | 6051 U S Hwy 49, Forrest General Hospital, Hattiesburg, MS 39401-7200 |
| Charles R Mccollum | Pulmonary Disease | Hattiesburg Clinic Pa | 6051 U S Hwy 49, Forrest General Hospital, Hattiesburg, MS 39401-7200 |
| Billy C Chancellor | Nurse Practitioner | Fgh Physician Billing | 6051 U S Hwy 49, Hattiesburg, MS 39401-7200 |
| Porter Hudson Glover | Gastroenterology | Hattiesburg Clinic Pa | 6051 U S Hwy 49, Forrest General Hospital, Hattiesburg, MS 39401-7200 |
| Bassam K Mechleb | Cardiovascular Disease (cardiology) | Forrest County General Hospital | 6051 U S Hwy 49, Hattiesburg, MS 39401-7200 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Akwasi A Amponsah | Internal Medicine | 2503 Glendale Ave, Hattiesburg, MS 39401-1073 | |
| Brad H Massey | Nurse Practitioner | Pioneer Health Care, LLC | 300 Cahal St, Hattiesburg, MS 39401-2922 |
| Judy Skaggs | Nurse Practitioner | Pioneer Health Care, LLC | 300 Cahal St, Hattiesburg, MS 39401-2922 |
| Gregory Owens | Gastroenterology | Hattiesburg Clinic Pa | 511 W Laurel Ave, Downtown Medical Associates, Hattiesburg, MS 39401-3504 |
| Sandra G Russell | Nurse Practitioner | Hattiesburg Clinic Pa | 511 W Laurel Ave, Downtown Medical Associates, Hattiesburg, MS 39401-3504 |
| Ann A Williams | Optometry | Optometric Clinic, Pa | 600 W Pine St, Hattiesburg, MS 39401-3834 |
| Lisa E Herrington Forsyth | Optometry | Optometric Clinic, Pa | 600 W Pine St, Hattiesburg, MS 39401-3834 |
| Gary Lynn Lett | Chiropractic | 1509 Hardy St, Hattiesburg, MS 39401-4906 | |
| Julie D Paterson | Clinical Social Worker | 1003 W Pine St, Hattiesburg, MS 39401-5049 | |
| Kelechi N Emereonye | Psychiatry | Region 12 Commission On Mental Health and Retardation Pine Belt Men | 103 S 19th Ave, Hattiesburg, MS 39401-6171 |
| Find all physicians in zip 39401 | |||
| City | HATTIESBURG |
| Zip Code | 39401 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | HATTIESBURG + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Gerald Ball Broussard.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.